- Sexual Health · Discreet Care · Manhatta
Sex Therapy and Sexual Health
Discreet evaluation of desire, performance, relationship concerns, and the psychological patterns that affect sexual health.
Overview
Sexual concerns often involve both body and mind
When only one side is treated, the problem often continues. This practice evaluates sexual symptoms in the full context of health, stress, mood, relationships, beliefs, behavior patterns, and identity.
Care is not limited to a prescription or a generic conversation. Treatment may involve psychiatric evaluation, psychotherapeutic work, medication review, behavioral formulation, and coordination with medical care when needed.
This service is designed to make it easier for patients to discuss highly personal concerns in a way that feels serious, confidential, and clinically useful — without being routed through a large health system or therapy platform.
Privacy & Discretion
This is a private, direct-pay model. Care is not routed through a large health system or insurance network. Your personal health information stays between you and your clinician.
All visits — in office, by telehealth, or at home — are $800 per visit. No insurance is billed.
Integrated Approach
Psychiatric, psychotherapeutic, and medical perspectives are integrated in a single clinician relationship rather than across separate referrals.
Conditions and concerns addressed
Desire & Libido
- Low or absent sexual desire
- Libido changes related to mood, medications, or stress
- Discrepant desire in relationships
- Loss of interest following a medical or psychiatric event
Performance & Anxiety
- Erectile dysfunction with psychological contributors
- Performance anxiety and anticipatory failure
- Arousal difficulties under stress or in relationships
- Post-COVID or post-illness sexual changes
Relationships & Identity
- Relationship-related sexual conflict
- Shame or avoidance affecting intimacy
- Sexual identity questions affecting mental health
- Impact of infidelity, betrayal, or sexual trauma
Compulsive Sexual Behavior
- Compulsive sexual behavior causing distress or harm
- Pornography use patterns affecting intimacy or function
- Shame-reinforced cycles of behavior
- Compulsive behavior co-occurring with depression, anxiety, or addiction
More than a prescription or a referral
Care for sexual health concerns often fails because it stays on one side of the body-mind divide. A urologist handles the physical. A therapist handles the emotional. No one looks at the full picture at once.
This practice integrates medical, psychiatric, and psychotherapeutic perspectives in a single clinical relationship. That means the evaluation is more complete, the treatment plan is more precise, and the patient does not have to repeat their story three times to three different providers.
Psychiatric evaluation
Mood, anxiety, and other psychiatric conditions that commonly affect sexual function — and are commonly missed.
Medication review
Many commonly prescribed medications affect sexual function as a side effect. This is evaluated as part of every workup.
Behavioral and relational formulation
Understanding the patterns, beliefs, and relationship dynamics that maintain the problem beyond the physical.
Medical coordination
Coordination with urology, gynecology, endocrinology, or primary care when a medical evaluation is part of the picture.
Privacy & Confidentiality
A practice built for sensitive clinical concerns
This is a private, direct-pay model built for discretion. Care is not routed through a large health system or therapy platform. The goal is to make it easier for patients to discuss highly personal concerns in a way that feels serious, confidential, and clinically useful.
- No insurance billing — your visit is not entered into an insurance record
- Direct access to your clinician — no large platform or portal between you
- Telehealth available for patients who prefer that level of privacy
- Superbill available on request for out-of-network submission if desired
Start with a confidential call
If you are concerned about a parent, spouse, or older family member, the best place to start is a brief call. We can discuss what you are seeing, what level of care may be appropriate, and whether this practice is a good fit.